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Robotic Surgery

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What is Robotic Surgery?

Robotic Surgery is a new approach in which a robot is used to assist the surgeon in performing better and more complex surgeries than might be possible without the precision of a robot. Named the Da Vinci Robot, this FDA approved bot is able to perform ‘keyhole’/’minimally invasive’ surgery with extreme exactitude.

Robot-assisted Surgery allows extremely accurate procedures to be performed through tiny incisions. Through this minimally invasive technique, the surgeon’s hand movements are scaled by the robot to be incredibly precise. The hand movements are also filtered by the robotic computer to remove any fine tremor.

Following Robotic Surgery, many studies show that patients recover with less pain, are faster to mobilise, and return to normal daily activities more quickly than with open surgery and often faster than with laparoscopic surgery. Additionally, the cosmetic results are excellent as the 8 mm scars fade to be almost completely invisible.

Why use Robotic Surgery?

Potential advantages to patients:

  • Less pain
  • Shorter hospital stay
  • Earlier return to normal daily activities
  • Low complication rate
  • Less internal scarring

For the surgeon:

  • 3D High Definition Vision
  • Instruments much more flexible and intuitive
  • Less tiring and much more comfortable
  • Easier to make precise movements and duplicate open surgical techniques

What happens after Robotic Surgery?

Most studies comparing Robotic Surgery with open surgery and also conventional keyhole surgery show that the former are able to leave hospital more quickly and require less pain relief.

Robotic arms move in such a way that no pressure is placed on the “port” or channel going into the abdomen. It is the site of these ports that is a major cause of pain for patients undergoing keyhole surgery. Because Robotic Surgery patients require less pain relief and are able to move around more freely from immediately after surgery — they tend to be ready for discharge in a more timely fashion.

What makes the complication rate lower?

Robotic Surgery enables the surgeon to see extremely well with the advanced optics of the robotic system, and move the instruments much more precisely. This in turn lowers complication rate.

Why The McIndoe Centre?

The McIndoe Centre offers pioneering technology in robotic gynaecological surgery for benign surgery and for gynaecological oncology. Mr McIndoe was one of the first surgeons in the field and has performed a wide range of procedures using the Da Vinci robotic system.

Why is Robotic Surgery more comfortable for the surgeon?

Robotic Surgery ensures that the surgeon is sitting in a comfortable position at all times. His or her hands are in a natural position in the line of vision making it feel like the instruments inside the body are the surgeon’s hands. The movements of the surgeon’s hands are mimicked by the robot, returning surgery to a very intuitive procedure.

This allows the surgeon to perform at his or her best at all times and to operate without compromise. In contrast, Laparoscopy is very awkward with instruments moving in a counterintuitive manner.

The photos below demonstrate how the positions of the hands are mimicked by the robot. The hands are positioned in the line of view behind the screen so that it feels as though the hands are actually in the body performing the tasks the robotic instruments are doing.

What procedures can be done with Robotic Surgery?

Robotic surgery can be used for removing fibroids, Myomectomy, repair of vaginal prolapse by performing a Sacrocolpopexy, radical Hysterectomy for cancer of the cervix, and tubal surgery such as reversal of sterilisation.